Individual
DR. MARK T WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
912 S WOOD ST # MC913, UIC DEPARTMENT OF PSYCHIATRY, CHICAGO, IL 60612-4300
(312) 996-6139
(312) 413-7856
Mailing address
912 S WOOD ST # MC913, UIC DEPARTMENT OF PSYCHIATRY, CHICAGO, IL 60612-4300
(312) 996-6139
(312) 413-7856
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036140698
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000017792J
HUMANA
—
05
—
1386696748
—
WI
Enumeration date
05/16/2006
Last updated
11/29/2021
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